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Mirus Medical
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Botox & Fillers Assessment Form

*Safari users must right click and select “open” to fill out and print the form.

If form does not appear, click here to download the PDF file.

Patient forms

    New patient form
    Cosmetic procedure form
    Sclerotherapy form
    GP Dermatology referral

Resources for patients

Health Info

    Health Canada
    Prenatal Screening

Laboratories & Diagnostics

    Gamma Dynacare Laboratory
    Merivale Medical Imaging
    Canadian Medical Alliance
    Women's Ultrasound Clinic
    Sound Care Diagnosis

Chronic Disease

    Canadian Diabetes Association
    Osteoporosis Canada
    Heart & Stroke Foundation
    Alzheimer Canada

Children

    Caring for Kids
    About Kids Health

Mental Health

    Canadian Mental Health Association
    eMentalHealth.ca
    Mental Health Crisis Line

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